Intraoperative fascial traction (IFT) for the treatment of large ventral hernias.

IFT (intraoperative fascial traction) is a new procedure for abdominal wall stretching in large ventral hernias. The present study shows a high effectiveness of IFT with good clinical practicability and low complication rate.

Niebuhr, H., Malaibari, Z.O., Köckerling, F. et al. Intraoperative Faszientraktion (IFT) zur Behandlung großer ventraler Hernien. Chirurg (2021)

Is the dissection of the abdominal wall still necessary in the treatment of W3 hernias?

For the treatment of complex hernias, there are no internationally accepted evidence-based recommendations regarding the restoration of abdominal wall integrity. In this paper, we are  reviewing the development of different component separations (CS) and other techniques used in treating such conditions. A literature review was carried out to describe some important techniques to treat giant hernias. After a detailed description of the CS and its important modifications, we are describing and discussing the relatively new fascial traction technique with its modification. With these reviews of the mentioned studies, we are questioning the extent to which the CS is still indicated in treating giant hernias and point out the importance of further comparison studies evaluating different techniques.

Henning C. Niebuhr, Halil Dag, Zaid Malaibari, Ferdinand Köckerling, Wolfgang Reinpold, Marius Helmedag

Journal of Abdominal Wall Surgery

Case Report: Intraoperative Fascial Traction in Robotic Abdominal Wall Surgery; An Early Experience

Intraoperative fascial traction (IFT) may obviate the use of a posterior component separation/transversus abdominis release (TAR). Robotic abdominal wall surgery leads to a reduction of morbidity in TAR compared to open surgery. The combination of minimally invasive (robotic) abdominal wall surgery with IFT may lead to a further reduction of surgical morbidity.

Bloemendaal ALA (2022) Case Report: Intraoperative Fascial Traction in Robotic Abdominal Wall Surgery; An Early Experience. J. of Abdom. Wall Surg. 1:10356. doi: 10.3389/jaws.2022.10356

Vertical traction device prevents abdominal wall retraction and facilitates early primary fascial closure of septic and non‑septic open abdomen

Fung, S., Ashmawy, H., Krieglstein, C. et al., Langenbecks Arch Surg (2022)

Chirurgische Allgemeine – Sonderdruck. Erhalt der Bauchwandintegrität. CHAZ 3_2021.

Maintaining abdominal wall integrity: Closure of W3 hernias using standardised fascial stretching

Adequate management of very large abdominal wall/scar hernias has usually only been possible by some form of component separation. Intraoperative fascial stretching using fasciotens®Hernia is a promising new method for the treatment of complex ventral hernias that can preserve abdominal wall integrity.

Chirurgische Allgemeine – Offprint. Preservation of abdominal wall integrity. CHAZ 3_2021.

frontiers in surgery

Intraoperative fascial traction as an alternative to component separation. A prospective observational study.

Prof. Niebuhr reports on an observational study of 21 patients in which complex hernias with a mean preoperative fascial distance of 17.3 cm (8.5-44 cm) could be effectively closed using the fasciotens method while avoiding component dissection. The mean stretch gain was 9.8 cm.

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Complete abdominal closure using Fasciotens®Abdomen in a case of open abdomen following complex aortic surgery in a 16-year old male patient suffering from mid-aortic syndrome

Complete abdominal wall closure of open abdomen after complex aortic emergency reconstruction for “mid-aortic syndrome(MAS)” using fasciotens®Abdomen in the case of a 16-year-old patient.

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2020-10-22_Case Report Marienkrankenhaus Siegen Dr. Hees_Seite_1

Case Report: Prevention of fascial retraction in the open abdomen and awake patients

Case report: The use of direct, controlled fascial traction of 50-60 Newtons, prevented fascial retraction in open abdomen. Once the oedema subsided, the abdomen could be closed without problems. This new form of therapy was well tolerated by the patient and allowed significantly faster closure without mesh or abdominal wall reconstruction.

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Hernienzentrum Hamburg

Video documentation of a hernia application

This video documents the successful application of a Loss of Domain Hernia and was created at the Hernia Centre in Hamburg by Prof. Henning Niebuhr, MD. First applications for the treatment of Loss of Domain Hernias: Prof. Dr. med. H. Niebuhr, Dr. G. Lill, Dr. F. Beyer, Dr. med. W. Reinpold, Dr. med. H. Dag.

CHAZ Bild Referenzen Publikationen

Fascia stretching for abdominal closure … After perforated abdominal aortic aneurysm – A new therapeutic option

The case presented in “Chirurgische Allgemeine” describes successful abdominal closure using fasciotens abdomen. Fascia stretching for abdominal closure after perforated abdominal aortic aneurysm. Chirurgische Allgemeine – Offprint. Fascial stretching for abdominal closure after perforated abdominal aortic aneurysm. CHAZ 4_2020 April 2020.

2020_Case Report Uni Düsseldorf

Case Report of the University Hospital Düsseldorf

The University Hospital Düsseldorf has published a case report on the use of Fasciotens®Abdomen ICU: “Novel Device Prevents Abdominal Wall Retraction and Facilitates Early Abdominal Wall Closure of Septic Open Abdomen”.Lupine Publishers, Surgery & Case Studies: Open Access Journal, ISSN: 2643-6760 / DOI: 10.32474/SCSOAJ.2019.04.000177, 11 December 2019.

2019_12_Passion Chirurgie Cover

One year of fasciotens – what users report

A year ago we already reported on the two surgeons Dr Gereon Lill and Dr Frank Beyer, who have made a virtue out of a necessity. They have launched a new product to fundamentally improve the medical care of the open abdomen. A rocky road that is slowly but surely bearing fruit. One year after the market launch of fasciotens®Abdomen, we asked users about their experiences. BDC. One year of Fasciotens – what users report. Passion Surgery. 2019 December, 9(12): Article 03_02. Further articles on this topic can be found on BDC|Online (, category Knowledge | Specialties | Visceral Surgery).

2020-06-Life Science Bauchdecke unter Spannung

Abdominal wall under tension

Report in “Medical Technology & Digital Health: “Case Study fasciotens® GmbH: Therapy of the open abdomen”Platform LifeSciences. Abdominal wall under tension. Medical Technology & Digital Health. 2019 November (Issue No. 4):. Page 43.